Mutation in the MICOS subunit gene APOO (MIC26) associated with an X-linked recessive mitochondrial myopathy, lactic acidosis, cognitive impairment and autistic features

Autor: Alexander J. Whitworth, Julien Prudent, Enrico Baruffini, Anna Yeates, Daniel Almeida do Valle, Alan J. Robinson, Erika Fernandez-Vizarra, Michele Brischigliaro, Aurelio Reyes, Mara Lúcia Schmitz Ferreira Santos, Ricardo L.R. Souza, Mark H. Johnson, Massimo Zeviani, Bruno Augusto Telles, Andrea Degiorgi, Cristiane Benincá, Vanessa Zanette
Přispěvatelé: Prudent, Julien [0000-0003-3821-6088], Whitworth, Alex [0000-0002-1154-6629], Apollo - University of Cambridge Repository
Rok vydání: 2020
Předmět:
0301 basic medicine
Saccharomyces cerevisiae Proteins
clinical genetics
genetics
metabolic disorders
neuromuscular disease
Acidosis
Lactic

Animals
Apolipoproteins
Autistic Disorder
Cognitive Dysfunction
Drosophila melanogaster
Fibroblasts
Genetic Diseases
X-Linked

Humans
Membrane Proteins
Mitochondrial Membranes
Mitochondrial Myopathies
Mitochondrial Proteins
Protein Binding
Saccharomyces cerevisiae
Biology
Mitochondrion
medicine.disease_cause
03 medical and health sciences
0302 clinical medicine
Mitochondrial myopathy
Genetics
medicine
Inner mitochondrial membrane
Genetics (clinical)
X-linked recessive inheritance
Exome sequencing
Mutation
Lactic
X-Linked
medicine.disease
biology.organism_classification
030104 developmental biology
Genetic Diseases
Lactic acidosis
Acidosis
030217 neurology & neurosurgery
Zdroj: Journal of Medical Genetics. 58:155-167
ISSN: 1468-6244
0022-2593
DOI: 10.1136/jmedgenet-2020-106861
Popis: BackgroundMitochondria provide ATP through the process of oxidative phosphorylation, physically located in the inner mitochondrial membrane (IMM). The mitochondrial contact site and organising system (MICOS) complex is known as the ‘mitoskeleton’ due to its role in maintaining IMM architecture. APOO encodes MIC26, a component of MICOS, whose exact function in its maintenance or assembly has still not been completely elucidated.MethodsWe have studied a family in which the most affected subject presented progressive developmental delay, lactic acidosis, muscle weakness, hypotonia, weight loss, gastrointestinal and body temperature dysautonomia, repetitive infections, cognitive impairment and autistic behaviour. Other family members showed variable phenotype presentation. Whole exome sequencing was used to screen for pathological variants. Patient-derived skin fibroblasts were used to confirm the pathogenicity of the variant found in APOO. Knockout models in Drosophila melanogaster and Saccharomyces cerevisiae were employed to validate MIC26 involvement in MICOS assembly and mitochondrial function.ResultsA likely pathogenic c.350T>C transition was found in APOO predicting an I117T substitution in MIC26. The mutation caused impaired processing of the protein during import and faulty insertion into the IMM. This was associated with altered MICOS assembly and cristae junction disruption. The corresponding mutation in MIC26 or complete loss was associated with mitochondrial structural and functional deficiencies in yeast and D. melanogaster models.ConclusionThis is the first case of pathogenic mutation in APOO, causing altered MICOS assembly and neuromuscular impairment. MIC26 is involved in the assembly or stability of MICOS in humans, yeast and flies.
Databáze: OpenAIRE